Laboratorio Clinico Martin Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1285 Issued in PR

Legal business name

LABORATORIO CLINICO MARTIN INC

Doing business as

Laboratorio Clinico Martin

Practice address

M5 Ave Colectora Central
Urb Jardines de Caparra
Bayamon, PR 00959

Phone

(787) 707-8504

Fax

(787) 706-8194

NPI assigned

Jul 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Jolly Ortiz

Title

Director

Phone

(787) 614-2131

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO MARTIN Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1467892604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M5 AVE COLECTORA CENTRAL URB JARDINES DE CAPARRA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-707-8504",
            "fax_number": "787-706-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M5 AVE COLECTORA CENTRAL",
            "address_2": "URB JARDINES DE CAPARRA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-707-8504",
            "fax_number": "787-706-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MARTIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-614-2131",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO MARTIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO MARTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Jariselle P.S.C (Laboratorio Clinico Jariselle II)
• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marielys Inc
• Laboratorio Clinico Marielys, Inc (Laboratorio Clinico Marie-E)
• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Minillas Corp.
• Laboratorio Clinico Miraflores Inc
• Laboratorio Clinico North Main
• Laboratorio Clinico Principal Inc

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.